Host Family Interest Form
Name of Primary Contact
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
E-mail
*
example@example.com
What are the names and ages of everyone who currently lives at your house?
*
How many players would you be interested in housing?
*
Please Select
One
Two
Three
Four
Do you have a private air-conditioned bedroom for the player(s)?
*
Please Select
Yes
No
Would the player have access to laundry and kitchen facilities?
*
Please Select
Yes
No
Would the player's bathroom be private or shared?
*
Please Select
Private
Shared
Do you have any specific house rules that you want to convey?
*
Do you have any pets?
*
Is there anything else we should know and consider when placing a player with your family?
*
Submit
Should be Empty: